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Harborside Psych

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Therapy for Scituate, MA

Therapy at Harborside is delivered by licensed clinicians who work with each client to choose an approach that fits the person, rather than running everyone through the same protocol, by video, on a schedule that fits real life. In Scituate and the other harbour towns along this stretch of the South Shore, a lot of households run on long commutes into Boston and even longer days once you count the drive or the train. An appointment that does not cost you half a day off is not a nice extra here. It is the difference between getting care and putting it off.

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Therapy for people in Scituate, MA

Scituate has its own rhythm: working harbour, tight-knit village centers, a lot of people who grew up on the South Shore and stayed, and a lot of newer residents who moved down from the city for the water and the schools and now spend two or three hours a day getting back to it. Therapy that has to happen in an office at 2pm on a Tuesday does not fit that life for most people. Therapy that happens on a laptop from a quiet room, before the kids are up or during a lunch break, often does.

We work with clients across Scituate the same way we work with clients across the rest of Massachusetts: one clinician, chosen for fit, meeting with you by video on a schedule you both agree to and can actually keep.

How telehealth care actually works

Sessions happen over live video, using a secure platform that runs from a laptop, tablet, or phone. You do not need special equipment, just a private space and a stable internet connection. A first therapy appointment typically runs about 45 to 60 minutes; follow-up sessions are usually 45 minutes and scheduled weekly or every other week, depending on what you and your therapist decide makes sense.

If your care includes medication management, prescriptions are sent electronically to the pharmacy of your choice, including pharmacies in Scituate or wherever is most convenient for you. Follow-up medication appointments are generally shorter than therapy sessions and are scheduled at whatever interval your prescriber recommends based on the medication and how you are doing.

Harborside is based in Yarmouth Port, Massachusetts, and delivers all care by telehealth to patients located in Massachusetts and New Hampshire at the time of their appointment. There is no waiting room, no drive, and no office to find. You log in from wherever you are.

What we treat

Our clinicians work with adults and, in some cases, adolescents dealing with anxiety, depression, mood changes, attention and focus difficulties, trauma-related symptoms, grief, life transitions, and disordered eating. Some clients come in with a clear diagnosis already in hand and want ongoing support. Others are not sure what they are dealing with and want an evaluation before deciding on a course of care. Both are a normal starting point.

Therapy sessions may draw on a range of approaches, including talk therapy, cognitive and behavioral techniques, and art therapy where appropriate, chosen based on what a particular client needs rather than applied as a single fixed method for everyone. For clients who could benefit from medication as part of their care, that conversation happens with a prescriber as part of a coordinated plan, not as a separate, disconnected process. Massachusetts licensure permits our prescribers to discuss and prescribe a full range of psychiatric medications, including stimulant medications for attention-related conditions, when clinically appropriate.

What the first appointment involves

The first appointment is mostly conversation. Your clinician will ask about what brought you in, your history, what you have already tried, and what you are hoping changes. If your care will include medication, a prescriber will also review your health history and current medications. There is no test to pass and nothing you need to prepare beyond showing up. By the end of the first session, you and your clinician should have a shared sense of what ongoing care looks like, including how often you will meet and what approach you will start with.

Who our clinicians are

Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also Harborside’s clinical director, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for a wide range of mental health conditions. Full bios and credentials for each of them are on the team page.

Therapy and eating disorder care are delivered by our licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, a registered art therapist, and Lexie Carchedi, LCSW. Between them, the team covers individual talk therapy, cognitive and behavioral approaches, and art therapy, and they work directly with our prescribers when a client’s care includes both therapy and medication.

What it costs

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and for follow-up appointments are listed on the pricing page. If you have questions about cost, you can ask before anything is booked.

Getting started

If you are ready to schedule, you can book an appointment online and choose between therapy and medication management, or both if that fits your situation. You will fill out some intake information ahead of your first appointment so your clinician has context going in. From there, it is a matter of logging in at your scheduled time. Clients in Scituate work with the same clinicians and the same process as clients anywhere else we see patients in Massachusetts.

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Frequently Asked Questions

Is therapy with Harborside the same as seeing a psychiatrist?

If you are in immediate danger, call 911. For mental health crisis support, call or text 988 to reach the Suicide and Crisis Lifeline. Harborside does not provide emergency or after-hours care.

This page is educational and does not constitute medical advice. It does not create a provider-patient relationship. Decisions about your care should be made with a licensed clinician who knows your full history.

For general information on finding and evaluating mental health treatment, see the [CITATION: SAMHSA or NIMH page on finding mental health treatment, as a neutral government source on evaluating care options].

Most clients meet weekly or every other week, depending on what’s agreed with the therapist during the first few sessions.

No. Harborside is a private-pay practice. Clients with out-of-network mental health benefits can request a superbill to submit to their insurer for possible reimbursement.

That’s a reasonable place to start. Many clients begin therapy without a specific problem in mind, and the first session is built around figuring that out together.

Yes. Finding the right therapist sometimes takes more than one try, and raising it is a normal part of the process, not something awkward.

No. Therapy is ongoing, scheduled care, not a crisis service. If you are in immediate danger, call 911. For crisis support, call or text 988.

If you need help right now

If you are in immediate danger, call 911. For mental health crisis support, call or text 988. Harborside Psychiatrics does not provide emergency or after-hours care.

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